Violation Tracker Individual Record

Company: 
Molina Healthcare of California
Current Parent Company: 
Molina Healthcare
Penalty: 
$250,000
Year: 
2015
Date: 
November 23, 2015
Offense Group: 
consumer-protection-related offenses
Primary Offense: 
insurance violation
Violation Description: 

Failure to comply with the requirement that only a licensed physician or licensed health care professional competent to evaluate the specific clinical issues involved may deny or modify requests for authorization of health care services for an enrollee for reasons of medical necessity (and other violations).

Level of Government: 
state
Action Type: 
agency action
Agency: 
California Department of Managed Health Care
Civil or Criminal Case: 
civil
Facility State: 
California
HQ Country of Parent: 
USA
HQ State of Parent: 
California
Ownership Structure of Parent: 
publicly traded
Major Industry of Parent: 
healthcare services
Specific Industry of Parent: 
health insurance
Source Notes: 
If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Parent company note: 
Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.